A nurse is reviewing a client's medication history before admission to a hospital unit. Which of the following sources of information is most reliable for obtaining an accurate medication history?

The client's verbal report of their medications and doses.

The client's medication list from their primary care provider.

The client's medication bottles brought from home.

The client's electronic health record from another facility.

Answer and Explanation

The Correct Answer is C

C) Correct. The client's medication bottles brought from home are the most reliable source of information for obtaining an accurate medication history, as they contain the name, dose, frequency, and expiration date of each medication. The bottles can also be used to verify the client's verbal report and other sources of information.

A) Incorrect. The client's verbal report of their medications and doses may not be accurate, as the client may forget, omit, or confuse some medications or doses. The verbal report should be confirmed with other sources of information, such as medication bottles or lists.

B) Incorrect. The client's medication list from their primary care provider may not be up to date, as the client may have changed, discontinued, or added some medications since their last visit. The medication list should be compared with other sources of information, such as medication bottles or verbal report.

D) Incorrect. The client's electronic health record from another facility may not reflect the current medications that the client is taking, as the facility may have different policies, protocols, or formularies than the admitting hospital. The electronic health record should be supplemented with other sources of information, such as medication bottles or lists.

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Correct Answer is B

Explanation

A) Incorrect. Assuming that the prescriber intentionally omitted potassium chloride because spironolactone can increase potassium levels is risky and unprofessional. The nurse should not make assumptions about the prescriber's intentions or clinical judgment, but rather seek clarification and verification.

B) Correct. Contacting the prescriber to confirm that potassium chloride was intentionally omitted and documenting the rationale is the best action. The nurse should communicate any discrepancies or concerns about the discharge orders with the prescriber and ensure that they are resolved before discharging the client.

C) Incorrect. Administering potassium chloride as previously ordered until the prescriber responds is inappropriate and potentially harmful. The nurse should not administer any medications that are not included in the current orders, especially if they may interact with other medications or affect the client's condition.

D) Incorrect. Adding potassium chloride to the discharge orders without contacting the prescriber is illegal and unethical. The nurse does not have the authority or competence to prescribe or modify medications without consulting with an authorized prescriber.

A. The client's primary care provider B. The client's pharmacy records C. The client's medication bottles D. The client's spouse or caregiver E. The client's previous admission records

Correct Answer is ["A","B","C","D"]

Explanation

A) Correct. The client's primary care provider can provide accurate information about the client's current prescriptions and any changes made recently.

B) Correct. The client's pharmacy records can show what medications the client has filled and when, which can help identify adherence issues or discrepancies.

C) Correct. The client's medication bottles can provide information about the name, dose, frequency, and expiration date of the medications, as well as any special instructions or warnings.

D) Correct. The client's spouse or caregiver can provide additional information about the client's medication use, especially if the client has cognitive impairment or difficulty managing their own medications.

E) Incorrect. The client's previous admission records may not reflect the current medication regimen, as changes may have occurred since then.

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A nurse is reviewing a client's medication history before admission to a hospital unit. Which of the following sources of information is most reliable for obtaining an accurate medication history?

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

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Correct Answer is ["A","B","C","D"]

Explanation

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